{"id":3824,"date":"2023-12-01T16:40:49","date_gmt":"2023-12-01T16:40:49","guid":{"rendered":"https:\/\/bxta.com\/?p=3824"},"modified":"2023-12-01T16:40:49","modified_gmt":"2023-12-01T16:40:49","slug":"why-the-specialist-urology-nurse-is-a-role-worth-fighting-for","status":"publish","type":"post","link":"https:\/\/bxta.com\/de\/why-the-specialist-urology-nurse-is-a-role-worth-fighting-for\/","title":{"rendered":"Risk and Reward: why the specialist urology nurse is a role worth fighting for"},"content":{"rendered":"<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p><\/p>\n\n\n\n<p><em>Beatriz Mora, Surgical Care Practitioner at North Bristol NHS Trust, describes how specialist urology practitioners are helping to transform prostate cancer care \u2013 and why the roles are perfect for any aspirational nurse who wants to improve the patient experience.<br><\/em><br><\/p>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>UK prostate cancer care is at a critical juncture. 2020 began with confirmation that prostate cancer had overtaken breast cancer as<mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-c-primary-color\"> <a href=\"https:\/\/www.bbc.co.uk\/news\/health-51263384\">the<\/a><a href=\"https:\/\/www.bbc.co.uk\/news\/health-51263384\" target=\"_blank\" rel=\"noreferrer noopener\"> most commonly diagnosed cancer in England<\/a><\/mark> \u2013 <a href=\"https:\/\/orchid-cancer.org.uk\/wp-content\/uploads\/2018\/04\/April-2018-Report-Spread-2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-c-primary-color\">ten years ahead of previous estimates<\/mark><\/a>, while news revealed a deeper context around a worrying shortage of prostate cancer nurse specialists&nbsp;according to research from Prostate Cancer UK. The study highlighted a <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-c-primary-color\"><a href=\"https:\/\/www.nursingtimes.net\/news\/workforce\/specialist-nurse-shortage-negatively-affecting-prostate-cancer-care-26-04-2019\/\">shortfall of 300 specialist urology nurses<\/a>,<\/mark> with only six CNSs for every 1000 people diagnosed with a urological cancer in England. The implications are significant \u2013 commentators say the lack of numbers is negatively affecting care, fuelling widespread variation across the country and depriving some patients of expert support. The future is equally troubling, with <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-c-primary-color\"><a href=\"https:\/\/www.urologynews.uk.com\/features\/features\/post\/prostate-cancer-nurse-specialist-shortage-a-view-from-the-coal-face\" target=\"_blank\" rel=\"noreferrer noopener\">41% of prostate CNSs planning to retire<\/a><\/mark> in the next decade and general nursing vacancy rates currently somewhere between 8-12%. These figures are a great shame, not only for patients \u2013 who very much value their engagement with specialist cancer nurses \u2013 but also for our profession. With urological cancer services facing unrelenting pressure, nurses can play a vital role in relieving some of the burden on clinical teams. For the sake of patients all over the country, we cannot risk wasting the opportunity.<br><br><strong>The nurse\u2019s code: putting patients first<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-left\">Working as a specialist urology nurse \u2013 in my case a surgical care practitioner \u2013 is hugely rewarding. It fulfils all those reasons why many of us first become nurses, most notably that desire to help patients at times when they\u2019re poorly, scared and vulnerable. Evidence \u2013 both documented and anecdotal \u2013 shows that nurse specialists, in all their various guises, can <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5594520\/\" target=\"_blank\" rel=\"noreferrer noopener\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-c-primary-color\">significantly improve the patient experience<\/mark><\/a>. However, the rewards of specialist nursing go much further. As demand for urology services increases and hospital resources become stretched, specialist practitioner roles offer real scope for professional development as aspirational nurses upskill to help clinicians and fill gaps in care. My own story illustrates just what\u2019s possible, showing how advances in prostate cancer care are not only transforming patient pathways, they\u2019re stimulating new opportunities for nurses to enhance their value to the multidisciplinary team.<br><br><strong>My story<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-left\">My journey as a Surgical Care Practitioner at North Bristol NHS Trust began towards the end of 2016. Fundamentally, the role means being a \u2018familiar face\u2019 to patients, supporting them through the whole pathway and providing continuity, contact and expertise before and after surgery. The bulk of my work has historically been to assist robotic surgery (typically prostatectomies) in theatre. However, having observed the pressures being placed on our service \u2013&nbsp;and understood the need to improve our cancer pathway \u2013 I quickly sought opportunities to expand my role to improve the patient experience.<br><br>It wasn\u2019t easy. The dynamics of a busy urology team \u2013 where multidisciplinary teams do fantastic work to support patients \u2013 mean that identifying opportunities to add value without \u2018crossing boundaries\u2019 or stepping on toes is difficult. My motivation was simple; I wanted to help. I knew that there was strong evidence that CNSs play a huge part in improving the patient experience, helping to avoid delays right across the pathway. However, I also knew that making those improvements is a collective responsibility \u2013&nbsp;so I tenaciously kept on looking for opportunities where I could supplement the wider teams and add greater value myself.<br><br>In 2019, that opportunity emerged. One of our uro-oncology surgeons offered me the chance to attend a training course in conducting \u2018transperineal biopsies under local anaesthetic\u2019 (LA TP). LA TP biopsies have replaced traditional (transrectal ultrasound) TRUS biopsies, which have been shown to have higher cases of infection and sepsis and can yield <a href=\"https:\/\/www.nice.org.uk\/guidance\/dg54\" target=\"_blank\" rel=\"noreferrer noopener\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-c-primary-color\">inaccuracies in identifying potential cancer cells<\/mark><\/a>. Until recently, hospitals would only offer a transperineal biopsy if other health problems meant a patient couldn\u2019t have a TRUS biopsy, because they required a general anaesthetic; in the event of a previous negative TRUS biopsy with increasing PSA; or if a more thorough biopsy was needed. However new innovations mean that LA TP biopsies can now be carried out by nurses in outpatient settings using advanced freehand technology \u2013 PrecisionPoint\u00ae. As such, many trusts, including ours, are starting to eliminate TRUS biopsies and replacing them with the LA TP approach.<br><br>The LA TP training, which fundamentally taught me how to carry out the new procedure, provided an opportunity to develop a distinct value that could make a difference to the patient experience. It gave me the chance to expand my role with a highly specialist skill \u2013 and in doing so, it enabled me to fulfil my objective to be involved at every phase of the pathway. I knew that by upskilling, and bringing new capabilities to the urology team, I would be able to make a real contribution to improve the patient experience \u2013 and also help the centre potentially speed up diagnosis.<br><br>Following the course, the trust arranged for further training with an Advanced Nurse Practitioner from South East London Accountable Cancer Network, Jonah Rusere, who supervised me while I conducted LA TP biopsies for three full patient lists. This, along with shadowing one of our own consultants, gave me the confidence and competence to become a capable HCP. I subsequently carried out my own list independently in September 2019 and have been supervised in several lists by two of our own consultants. Alongside that, I\u2019ve also attended training to learn to interpret MRI scans. This will help me become an expert in identifying and targeting prostate lesions.<br><br>With my enhanced role \u2013 which also encompasses a range of patient engagement prior to, and beyond, biopsy \u2013 I hope I am making a valued contribution to the transformation of prostate cancer pathways at North Bristol hospital. Moreover, it shows the important part that nurses can play in improving services, reducing delays and \u2013 ultimately \u2013 helping patients. These are opportunities that every aspirational nurse dreams of when they take their first steps into nursing \u2013 and they\u2019re there for the taking when the circumstances are right.<br><br><strong>Making the journey<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-left\">So how do you get there? My journey has relied on ambition and steely determination, as well as the unwavering support of colleagues and a small slice of serendipity with the emergence of LA TP. There have, of course, been challenges along the way; driving change and rethinking pathways and processes is always difficult in complex acute environments. However, with patience and perseverance, opportunities to make a difference will often emerge.<\/p>\n\n\n\n<p class=\"has-text-align-left\">Those opportunities will naturally be situational \u2013 they\u2019ll depend on the unique circumstances that drive every trust. However, if you\u2019re looking to progress into a specialist urology nursing role, there are certain qualities that give you the best chance of success. Here\u2019s my advice:<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\" start=\"1\">\n<li><strong>Immerse yourself<\/strong> in the desirable area and be willing to take on new skills. Remember that you\u2019re always learning. If you want to be a specialist practitioner, every day is a school day.<br><br><\/li>\n\n\n\n<li><strong>Work hard<\/strong> and don\u2019t give up. My thirst for improvement meant working out of hours and on days off to build my knowledge and expertise. It was worth it.<br><br><\/li>\n\n\n\n<li><strong>Be confident.<\/strong> Rare though it is, there will always be scepticism and old-school views that nurses aren\u2019t qualified to perform certain clinical tasks. But we\u2019re there to help, and if the regulations permit it and we\u2019re properly trained, there\u2019s very little we cannot do. If you need to prove your worth \u2013 to others, or simply to yourself \u2013 audit your work, document it and share it at MDT meetings. You\u2019ll soon be able to show that you\u2019re as good as anyone else.<br><br><\/li>\n\n\n\n<li><strong>Keep your eyes on the prize.<\/strong> Remember that everything you do is for one reason alone: to help patients. If you stick to that, you won\u2019t go far wrong.<br><br><br><br><br><br><\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Beatriz Mora, Surgical Care Practitioner at North Bristol NHS Trust, describes how specialist urology practitioners are helping to transform prostate cancer care \u2013 and why the roles are perfect for any aspirational nurse who wants to improve the patient experience. UK prostate cancer care is at a critical juncture. 2020 began with confirmation that prostate [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":3044,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"template-old-blog.php","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[9],"tags":[],"class_list":["post-3824","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-professionals"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Risk and Reward: why the specialist urology nurse is a role worth fighting for<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bxta.com\/de\/why-the-specialist-urology-nurse-is-a-role-worth-fighting-for\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Risk and Reward: why the specialist urology nurse is a role worth fighting for\" \/>\n<meta property=\"og:description\" content=\"Beatriz Mora, Surgical Care Practitioner at North Bristol NHS Trust, describes how specialist urology practitioners are helping to transform prostate cancer care \u2013 and why the roles are perfect for any aspirational nurse who wants to improve the patient experience. 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